Individual
MICHAEL W ROSIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1360 WYOMING AVE, SCRANTON, PA 18509
(570) 961-2504
(570) 347-6585
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503
(570) 342-3145
(570) 344-1309
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD011303E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00178790
RAILROAD MEDICARE
—
05
—
007042290
—
PA
01
—
054666
HIGH MARK BLUE SHIELD
—
01
—
11954
GEISINGER HEALTH PLAN
—
01
—
506554
AETNA
—
01
—
818445
FIRST PRIORITY HEALTH
—
Enumeration date
08/31/2006
Last updated
07/26/2018
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